543801059-1-26-2022-04-CC-JPEE-CB2TZX-20220126141103

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543801059
Report Date: 01/26/2022
Date Signed: 01/26/2022 02:11:34 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	RICHGROVE DISTRICT STATE PRESCHOOL		FACILITY NUMBER:	543801059
ADMINISTRATOR:	ROSIQUE, ERIKA		FACILITY TYPE:	850
ADDRESS:	20812 GROVE DRIVE		TELEPHONE:	(661) 725-2424
CITY:	RICHGROVE	STATE: CA	ZIP CODE:	93261
CAPACITY:	155	CENSUS: 29	DATE:	01/26/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Site Supervisor, Erika Rosique		TIME COMPLETED:	02:30 PM

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

On 1/26/2022, An unannounced Annual Random visit was conducted today by Licensing Program Analyst (LPA) Jose Penate. LPA met with Site Supervisor, Erika Rosique and toured the facility, both indoors and outdoors. This facility runs year around, Monday-Friday 5:00AM to 5:00PM.

Classroom #804-#805-#809-#810-#811 accommodates the preschool age children and classroom #803 accommodates toddler children. The toddler restroom has a changing table that meets regulations, it also has a changing table that has a sink at arm’s reach.

There are no bodies of water on site. Firearms/weapons are not allowed or stored on premises. All children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than 12 children in attendance. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. No poisons were observed during today’s visit. All materials and surfaces accessible to children are toxic free. All toilets, hand washing, and bathing facilities are in safe and sanitary operating conditions. All floors are clean and safe. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. The facility offers breakfast, lunch and a PM snack, that are delivered from elementary cafeteria. Menus are posted at least one week in advance, where an authorized representative can view them. All food is protected from contamination, and contaminated food is discarded immediately. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair.

Continued on LIC 809-C

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Jose Penate	TELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: RICHGROVE DISTRICT STATE PRESCHOOL	FACILITY NUMBER: 543801059
	VISIT DATE: 01/26/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Uncontaminated drinking water is available both indoors and outdoors. Each classroom has disposable cups that are held in a cup dispenser allowing children to freely drink water at any time. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Playground equipment is in good condition.

Incidental Medical Services (IMS) is currently not being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request.

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Jose Penate	TELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2